Duke  University  Libraries 

Circular.  Confe 
Conf  Pam  12mo  #142 

DTTmOEBSX 


C  1 1^  O  XJ  li  .A.\R  . 


CONFEDERATE    STATES   OF   AMERICA, 

Surgeon  General's  Office, 

Richmond,  Va.,  July  6,  1863. 

I.  Medical  Directors  of  hospitals  are  instructed  to  keep  the  number  of 
medical  officers  on  duty  at  each  hospital  always  apportioned  to  its  capa- 
city. In  this  apportionment  only  one  medical  officer  will  be  allowed  to 
every  seventy  patients. 

II.  Surg;eons  in  charge  of  hospitals  will  make  the  deductions  for  clo- 
thing issued  by  the  quartermaster's  department  to  soldiers  whilst  in  hos- 
pital, upon  the  hospital  muster  roll,  instead  of  forwarding  them  for  this 
purpose  to  the  field,  where  they  frequently  fail  to  arrive. 

III.  In  all  hospitals  convalescent  wards  will  be  established,  and  a  i^pe- 
cial  ward  appropriated  for  contagious  diseases.  A  change  of  the  position 
of  the  patient  from  one  part  of  the  ward  to  another j  will  oftea  be  found 
promotive  of  his  comfort  and  rehef. 

IV.  Surgeons  in  charge  of  hospitals  will  also  give  due  attention  to  the 
frequent  whitewashing  of  the  wards,  and  renewal  of  the  contents  of  th(^ 
bed  sacks :  the  former,  under  ordinary  circumstances,  twice  or  "thijioe 
yearly — the  latter,  at  least  once  in  each  month. 

All  bedding  will  be  fi-equently  aired.  Three  sheets  for  each  bed  will 
be  the  allowance  to  be  kept  on  hand ;  two  of  which  will  always  be  kept 
upon  each  bed. 

V.  Upon  the  door  of  each  ward  shall  be  distinctly  noted  its  number, 
its  capacity  in  cubic  feet,  and  also  the  number  of  beds  contained  therein. 
In  all  cases,  at  least  800  cubic  feet  should  be  allowed  to  each  bed,  which 
will  be  numbered  with  a  movable  card,  and  not  placed  nearer  than  six 
inches  to  the  wall. 

VI.  In  each  ward  a  proper  receptacle  will  be  provided  for  the  medi- 
cines prescribed,  each^of  which  will  be  labeled  with  the  dose,  periods  for 
administration,  and  name  of  the  patient  for  whom  it  is  intended.  Upon 
■the  outer  surface  of  the  door  of  this  receptacle  will  be  pasted  the  Diet 


Tabic  of  the  liospiuil  (see  Form  Xo.  1),  aud  tor  tlie  conveuieuce  of  the 
attendants,  the  Time  Table  for  tJic  administration  of  remedies.  (See  Form 
No.  3.) 

YII.  In  each  Avard  a  few  muslin  or  i)aper  covered  frames  will  be  dis- 
tributed as  movable  screens,  for  the  comfort  and  accommodation  of  the 
patients.     These  will  not  be  sufficiently  numerous  to  obstruct  ventilation. 

VIII.  The  floors  of  the  hospital  will  be  cleansed  by  dry  scrubbing 
with  .^and.  Water  will  not  be  employed  for  this  purpose  but  by  the  spe- 
cial direction  of  the  surgeon  in  charge. 

IX.  The  General  Kotise  Rules  will  be  pos^Q^  conspicuously  at  the  en- 
trance, and  in  all  the  several  departments  of  the  hospital,  for  the  informa- 
tion of  visitors,  residents,  and  all  others  concerned.  Cards,  specifying 
the  duties  of  the  stewards,  assistants,,  wardmasters,  acting  dispenser  of 
medicines,  matrons,  attendants,  cooks,  etc.,  accompanied  by  rules  for  their 
guidauce,  will  be  hung  up  in  the  respective  places  where  such  duties  are 
to  be  performed. 

X.  Suitable  hours  for  retiring  in  winter  and  in  summer,  will  be  fixed  by 
the  surgeons  in  charge  ;  after  which  no  con^•ersation  in  the  wards  will  be 
permitted. 

XI.  Surgeons  in  cha,rgc  of  hospimls  will  require  hospital  stewards  to 
furnish  them  Aveekly  inventories  of  all  hospital  property  under  their 
charge;  and  each  matron,  acting  dmggist  ancl  wardmaster' (especially  if 
in  charge  of  baggage),  and  each  cook,  will  be  required  to  keep  at  all 
times,  ready  for  inspec;tion,  a  neat  record  of  all  property  committed  to 
their  care. 

XII.  Tickets  will  be  given  to  the  patients  by  the  \vardmaster  in  charge 
of  the  baggage;  upon  which  will  be  entered  from  his  books  a  list  of  and 
receipt  for  all  clothing  or  other  property  delivered  to  him. 

XIII.  After  the  morning  visit  of  the  surgeon,  there  will  bo  placed  in  the 
hands  of  the  matron  of  each  ward  a  Diet  Roll  (see  Form  No.  2)  of  the 
patients  of  the  ward,  to  whom  she  Aviil  see  that  the  proper  kind,  quality, 
and  the  full  qnantu^  of  food  and  stimulus  allowed,  are  delivered.  This 
Diet  Roll  will  be  hung  up  by  the  matron  in  a  conspicuous  place  in  the 
ward,  and  be  subject  to  the  inspection  of  each  patient  of  the  ward. 

XIV.  The  surgeon  in  charge  of  every  hospital  of  or  above  the  capa- 
city of  J  40  patients,  will  daily  assign  to  duty  one  of  the  surgeons  or  as- 
sistant surgeons  under  his  charge,  as  officer  of  the  day,  ,)vho  will  at  the 
same  time  act  as  sanitary  officer. 


XV.  It  shall  be  the  duty  of  this  otiicer  to  inspect  the  hospital  and  pre- 
mises during  both  day  and  night,  and  to  report  in  writing  the  results  of 
his  inspection  to  the  senior  officer  in  charge.  It  shall  also  be  his  duty  to 
see  that  proper  order  and  discipline  are  maintained,  and  that  the  direc- 
tions of  th':>  officer  in  charge  ;ind  of  tby  r^ps^-'-^Hing  .'-nrgc-on  ha"' ?  been 
obeyed.  He  will  report  any  omission  or  defect  in  the  attendance  or  con- 
dition of  the  wards,  and  any  delay  or  faikire  in  the  administration  of  re- 
medies or  serving  of  diet.  Ue  will  visit  the  kitchen,  and  note  its  condi- 
tion as  regards  the  jsufficiency  of  utensils,  &c.,  cleanliness,  (^c. ;  will  be 
present  at  meal  times,  to  be  able  to  judge  of  the  proper  preparation  and 
distribution  of  food.  He  will  examine  thoroughly  the  condition  of  the 
hospital  as  to  drainage,  removal  of  offal,  water  closets,  latrines,  supply  of 
water,  light,  fuel,  dry  scnibbing  of  floorfe,  sweeping  of  premises,  yeuti- 
latiug  arrangements,  cleanliness  of  the  patients,  bedding,  and  of  the  hos- 
pital in  general.  He  will  organize  the  attendants  into  relief  parties,  in 
order  that  they  may  be  alloAved  both  the  necessary  sleep  and  exercise ; 
and  will  see  particularly  that  such  convalescents  as  can  sit  up,  and  are 
pronounced  capable  of  performing  such  duty,  separate  their  bedding,  and 
air  it  every  day  for  two  hours  in  fine  weather ;  and  that  thoy  render  any 
assistance  to  their  sick  comrades  which  their  attending  medical  officer 
may  think  fit.  He  will  see  if  the  sentries  guarding  the  hospital  are  at 
their  posts,  and  that  they  allow  no  liquor  to  be  introduced  into  the  hospi- 
tal, and  no  visitors  admitted  to  the  wards,  except  in  accordance  with  the 
%vritten  rules  of  th-'  hospital. 

SAM'L  PP.ESTON  MOORE. 

Sur(rcu7i   General. 


Form  y 
Viet   Table  for  MiiUary  Hosjnials. — Articles  composing 


Tea  Diet. 

Spoon  Diet. 

1 
Beef  Tea  Diet. 

Milk  Diet. 

Light  Meat  Diet. 

Chic 

Bread,            8    oz. 

Bread,           8    oz. 

1       ■■  ■■ 
Bread, 

12  oz. 

Bread,    14  oz. 

Meat,        6  08. 

Pow 

Tea,                 i    " 

Tea,                 \    " 

Tea, 

i" 

Rice,         2    " 

Eggs,        2 

Brea 

Sugar,          2}    " 

Sugar,           U    " 

Sugar, 

U" 

Or,  corn  meal 

Bread,     14  oz. 

Salt. 

Milk,              6      " 

Milk,             6     " 

Milk, 

6    " 

for  mush. 

Salt,            i  " 

Tea. 

Beef, 

«    " 

Milk,       3  pts. 

Tea,            1  " 

Sugf 

Also,  either  of  the 

Salt. 

.V  " 

Sncrar,       1   o^. 

Sugar,        ^  " 

Milk 

following: 

" 

Milk,         6    " 

Butt 

The  proportion  for 

Arrow  root,   2  oz. 

Butter,     1    " 

each  meal  may  I  e 

Rice  Hour,      2    " 

varied  at  the  dis- 

Maizena,        2    " 

Rice,         2  oz. 

cretion  of  the  med- 

With milk,      1  pt. 

IMilk,         if  pt. 

ical  officer 

i 

1 

1 

Corn  meal  for 
gruel,            2  oz. 
With  butter.    I  " 
Sugar.              1     " 

' 

Sugar,      ^-  oz. 
Egg,          1 

Tor    pudding, 

Havored    with 

cinnamon     or 

lemon. 

BREAK! 


Tea, 
Bread' 


1  pt. 

2  oz. 


Tea, 
Bread, 


I   pt. 
4  o^ 


Tea, 
Bread, 


1  pt. 
4  oz. 


Milk, 
Bread. 


1  pt. 
fi  oz. 


Tea, 
Bread 
Butter, 
Eggs,         2 


1  pt. 


Tea, 
Toas 
with 
Buttt 


Tea, 

Bread 


DINN] 


1  pt. 

4  oz. 


Arrow  root. 
Rice  flour. 

M:iizciia 
Gnu-l. 


Beef  tea,  10  oz. 
Breail.        4  oz. 


Rice  milk 

Ipt. 

Bread, 

4oz. 

Sugar, 

loz. 

Or,  mush  and  i 

milk. 

• 

Beef  tea,  15  oz. 
Bread,       4  oz. 

Also, 
Rice  pudding 


Fowl, 
Roast 
into 
tea. 
Bread 


SUPPI 


Tea, 
Bread. 


1  pt. 
4  oz. 


Tea, 
Bread. 


I  pt. 
4  oz. 


Tea, 
Bread. 


1  pt. 
4  oz. 


Milk, 
Bread, 


1  pt. 
4  oz. 


Tea, 

1  pt. 

Bread, 

5  oz. 

Butter, 

i" 

Tea, 

Bread 

Butte 


ts  in  tea.  Hnnon.  and  oe 


Note  1.— Drinks  for  patients  in  tea.  spoon,  and  oeef  tea  diets  are  to  be  made : 

Note  2.— Half  an  ounce  of  coffee  may  be  .substituted  for  an  |th  oz.  of  tea  at  breakfast  and  supj 

Note  3. — Wine,  spirits  and  malt  liquors  will  be  considered  as  extras,  nnd  when  ordered  will  ii.  i 

V  ..  - 


Diet   Table  for 

Miikafy  Hosjntals. — A 

rt/cles  cumposim  (he  different  Diets  for  a 

Day- 

-Avcrdupois   Weight. 

Tea  Diet. 

i 

Spoon  Diet. 

Beef  Tea  Diet. 

Milk  Diet. 

Light  Meat  Diet 

OflH-en  Diet. 

Half  Diet. 

Fish  Diet. 

Roast  Half  Diet. 

Pull  Diet. 

Bread,           8    oz. 
Tea,                 i    " 
Sugar,           2i    •' 
Milk,              6      " 

The  proportion  for 
each  meal  may  I  e 
varied  at  the  dis- 
cretion of  tht- med- 
ical offlo^r 

Bread,           8    oz. 
Tea,                 1    " 
Sugar,           li    " 
Milk,              6      " 

Also,  either  of  the 

following : 
Arrow  root,   2  oz. 
Rice  Hour,      2    " 
Maizena,         2    " 
With  milk,      1  pt. 
Corn  meal  for 
gruel,            2  oz. 
With  butter,    \  " 
Sugar.               1     " 

Bread,    12  oz. 
Tea, 

Sugar,      ],(  " 
Milk,         6    " 
Beef,         a    " 
Salt,           i  " 

Bread,    14  oz. 
Rice,         2    " 
Or,  corn  meal 
for  mush. 
Milk,       3  pts. 
Sugar,      1  oz. 

Meat,        6  ol. 
Eggs,        2 
Bread,     14  oz. 
Salt,            }  " 
Tea,            \  " 
Sugar,        .}■  " 
Milk,        6    " 
Butter,     1    " 

Milk,'         i  pt! 
Sugar,      .1  oz. 
Egg,          1 

For    pudding, 

fluvored  with 

eiunamon     or 

lemon. 

i 

■ 

1,         8  02. 

d,    18    .". 
*" 
i" 

.r,       li  " 

8    " 

•r,      1    " 

iMeat,        8  oz. 
Bread,    16    " 
Potatoes,  8    " 
Barley,     U  " 
Or,  lice,   li" 
Okraj        — 
Salt,            i  " 
Tea,            i  " 
Sugar,      U  " 
Milk,         6    " 
Vegeta- 
bles,       4    " 
Butter,     2    " 
Flour,        i  " 

Fish,  broiled 
or  fried,        6  oz. 
Eggs,               2 
Bread,            18  oz. 
Potatoes,         5    " 
Rice,                3    " 
Salt,                   i  " 
•Tea,                   i" 
Sugar,             1.1  " 
Milk,                6"  " 
Butter,            a    " 

Roast  meat,  Chop 
or  Steak. 

Meat,               8  oz. 
Bread,            18    " 
Potatoes,         8    " 
Or,  fried 
mush,             8    " 
Salt,                  J  " 
Tea,                   i  ". 
Sugar,             li  " 
Milk,                6    " 
Vegetables,     4    " 
Butter,            1    " 
Or,  butter,  ?     i  " 
Molasses.     S    :i    " 

Meat  (fresh),        15  oz. 
Or;  bacon,             8    " 
Brerfd,                    16    " 
Potatoes,              16    " 
Or,  potatoes,  (      7    "  • 
Beans,             5       9    " 
Barley,                   1.}  " 
Or,  rice,                  U  " 
Okra,                      — 
Salt,                         i  " 
Tea,                          i  " 
Sugar,                     1]  " 
Milk,                       (i    '■ 
Vegetables,            4    " 
Butter,                    1    " 
Or,  butter,  I            t  " 
Molasses,    5           4"  " 
Plour,                      i  " 

%Vhen  in  lieu  of  soup, 
meat  is  baked,  roasted 
or  Ktewed,  2  oz.  extra 
of  bread  are  allowed  in 
lieu  of  barley  and  rice. 

To  be  marked  "varied" 
on  Roll. 

BREAK 

AST. 

Tea,                  1  pt. 
Bread'              2  oz. 

Tea,                   1   pt. 
Bread,              4  o%. 

Tea,         1  pt. 
Bread,      4  oz. 

Milk,         1  pt. 
Bread.      6  oz. 

Tea,          1  pt. 
Bread,       r,  oz. 
Butter,        ,',  " 
Eggs,         2 

T„ 
Toa 
with 
But 

l.pt. 
.  dry   or 

ailk,Goz. 
r,      I  oz. 

Tea,          1  pt. 
Bread,      6  oz. 
Butter.       1  " 

Tea, 

Bread, 

Butter, 

)  pt. 

Tea,                 1  pt. 
Bread,             6  oz. 
Batter.               >i  " 

Tea,    •                ^  1  pt. 
Broad,                     6  oZ. 
Butter,                     i  " 

DINN 

'.R. 

Tea,                 1  pt. 
Bread,              4  oz. 

Arrow  roof.  - 
Rice  Hour. 

Beef  tea,  10  oz. 
Bread.        4  oz. 

Rice  milk,  Ipt. 
Bread,        4  oz. 
Sugar,       loz. 
Or,  mush  and 
liiilk. 

Beef  tea,  15  oz. 
Bread,      4  oe. 

Also, 
Rice  pudding 

i 

Pow 
Roas 
into 
tea. 
Brea 

8  oz. 
or  made 
chicken 

(>■  oz. 

Soup,      13  oz. 

with  okra,  rice 

or  barley. 
Meat,        8  oz. 
Bread,       4   " 
Potatoes,  8    " 

Fish, 

Eggs, 

Potatoes, 

Rice, 

Butter. 

6  oz. 
2 

i)    " 

Roast  meat.  Chop 
or  Steak. 

Meat,              8  oz. 
Bread,            6    " 
Potatoes,  or 
fried  mush,    8  oz. 
Vegetables,     4    " 

Okra  or  bean  soup, 

1  pt. 
Meat,              12  or  8  oz. 
Bre;..!,                      4    " 
Potatoes,      16  or  8    " 
Veg..fable»,            4    " 

SUPH 

R. 

Tea,                  1  pt. 
Bread,              4  o«. 

Tea,                   1  pt. 
Bread,              4  oz. 

Tea,          1  pt. 
Bread,      4  oz. 

Milk,         1  pt. 
Bread,      4  oz. 

Butter,      i  " 

H 
S 

ipt. 
6  oz. 

Tea,          1  pt. 
Bread,      (i  oz. 
Butter,       ',  " 

Tea, 

Bread, 

Butter, 

1  pt.     Tea,                 1  pt. 
(i  oz.     Bread,             6  oz. 

1  '^   Butter,              1  " 
•  Or,  molasaes,  3    " 

Tea,                         1  pt. 
Bread,                     (i  oz. 
Butter,                    .(  " 
Or,  molassej),         4    "      ' 

ts  in  tea,  spoon,  and  Deef  ten  dii 


Note  1.— Drinks  for  patients  in  tea,  spoon,  and  beef  ten  diets  are  to  be  made  ; 

NOTK  2. — Half  an  ounce  of  coiTee  may  be  substituted  for  an  Uh'oz.  of  tea  at  breakfast  and 

Note  3.— Wine,  spirits  and  niajt  liquors  will  be  considered  as  ^traw.  uiid  when  ordered  will 


i 


irked  ns  such  on  the 


C  Barley  IVater. 
<  Rice  fViiler.— 
'  Leni.o'unde. — J 

Roll,  opposite  the  name 


— Barli>5',  -i  oz. ;  sugar,  2  oz. ;  for  every  five  pints 
Rice,  2  oz.  ;  sugar,  2  oz. ;  for  every  five  pintH. 
,  large  lemon  ;  sugar,  li  oz. ;  to  two  pintn. 


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EXTRAS. 

(Each  article  beyond  what  is  allowed 
iu  the  Special  Diet  of  the  preceding 
column,  will   be  separately   entered 
here,  all  kinds  of  alcoholic  stimulautd 
being  included.) 

' 

DIET. 

(State  whether  Tea, 
Milk,  Half  or  Low  Di- 
et, etc.) 

■#- 

P 

< 

o 

> 

1 

•paq  JO  -OK 

S  « 

■5^ 


as 

O    O) 


1:2 

s  ® 

O  M 

».2 


o 


P5 
O 


V       Cr, 

ii 


' 

1 

10  o'clock, 
Forenoon. 

Bed  time. 

When  ordered 

morning  and 

evening. 

10  o'clock, 
Forenoon. 

Bed  time. 

1  >- 

fl 

10  o'clock. 
Forenoon. 

6  o'clock. 
Evening. 

Hi 

If 

1? 

10  o'clock. 
Forenoon. 

2  o'clock, 
Afternoon. 

6  o'clock. 
Evening. 

is 

6  o'clock. 
Morning. 

10  o'clock. 
Forenoon, 

2  o'clock. 
Afternoon. 

Bed  time. 

Us 

2  o'clock. 
Morning. 

6  o'clock. 
Morning. 

10  o'clock. 
Forenoon. 

2  o'clock. 
Afternoon. 

6  o'clock, 
Evening. 

10  o'clock. 
Night. 

"» 

53 

-a  fe 


Hollinger  Corp. 
pH8.5 


